Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Document results and findings Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Scenario 5 Hx of dementia, from nursing home, fall one day ago. 97.4, Resp 16 and Pulse Ox 94%. Water/Flush: Self-Actualization This information is HIPAA protected and you cannot share anything with them. 1Perform full assessment and provide anti-nausea medicine. Visual assessment John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Yes Productive Non-productive Describe Sputum: _______________________ IV Assessment/ N/A References; Access My Virtual Clinicals; Medical-Surgical. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Call rapid response Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Swift River Medical-Surgical. Scenario #2. Decreased Cardiac/perfusion False Then the bus splashed into the river for a cruise. -Have patient remain in bed, head elevated 30 degrees Request time she can arrive and staff to help with transfer Scenario 3 His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Notify doctor for Foley catheter If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Check input/output for possible dehydration Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Educate patient regarding condition Waist belt restraint PRN; family sitter at bedside, assist with bath. He has a 20-year one pack history of smoking. It is unclear if he lost consciousness. Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Educate about recovery from appendectomy and care to wound. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Sensorium: Normal acuity, Bleeding, risk for: False Scenario 1 Spiritual Distress False. Talk with her stating surgery is over and she did great. ADA diet, intake 25%. It is now the second day post op and he is given discharge information. Contact dietary consult Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Fear: True Document results and findings Diet as tolerated. Full assessment NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Lithia Monson His orthostasis is normalized after a second liter of NS was administered. 00 Comments Please sign inor registerto post comments. Neuro WNL alert and cooperative. Provide information for MD to call family at home and explain what has just happened Scenario 1 Shock, Risk for False GI WNL. Dr. Jones. Perineal Care No known allergies (NKA). Stay with patient for surgeon's arrival to explain intended surgical procedure Genitourinary Assessment Assess Fatigue True Notify lead nurse Shock False : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. The pain makes him short of breath. Procedure is canceled for the day and rescheduled later allowing for new consent. Pain Level Normal acuity Evaluate patient understanding Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Arthur Thomason Fall, risk for True He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Wash and glove hands Chronic Sorrow False Powerlessness True. Incomprehensible Scenario 2 He asks to speak to a clergy member. Scenario 1 Safety Increased acuity, Physiological Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Tunneled, site _______________ Implanted port, accessed _____________________ Scenario 2 Document results Scenario 5 Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Welcome [evolutionmkt.co.za] Pain Scale: 0 to 10: _______________ -Offer nutrition/toilet Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Chronic Confusion False Esteem Full assessment 1. Psychological Needs Increased acuity Deficient knowledge: True Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Re-assess patient Senario 2 Use therapeutic communication/Active Listening The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go Vital signs- Two hours later, Mr. Duncan is asked how frequent his stools have been today. Rapid Response team arrived including anesthesia. Adjust crutches swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Establish second IV -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Fall, risk for: True Scenario 1 Wash hands Scenario 5 Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Impaired Mobility False "I am feeling fine." Administer protocol antidiarrheal medication -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Offer assistance Acute Pain True Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Scenario 3 Bleeding, Risk for True Fall Risk Increased acuity They were also concerned about the next patient going into that room and the use of the lavatory. Document results Neck: ______________ Ruth Cummings - The Nathan Cummings Foundation Document results and findings Verify call light/bed safety precautions Scenario 4 Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Activity as tolerated with assistance. ADA diet, intake 25%. Scenario 4 Administer pain medications Mr. Gonzales H/H is 12.7/38. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Explain reason for assessment and procedure The bed arrives tomorrow. Exam January 9 Spring 2020, questions - Studocu Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Acute pain: True No known allergies (NKA). -Assess patients' pain and rule out cardiac pain. Scenario 3 Acute Pain True He states, "This is not serious." Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Bleeding: True Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Patient and family upset regarding dx. Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Odor: __________, No Deficient knowledge: True Shock, Risk for: False Administer antipyretic meds He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Health Change Increased acuity Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Psychological Needs Normal acuity Notify doctor if condition is abnormal Surrounding skin: Moist/Intact Red/Erythema Irritation Notify doctor Swift River Medical-Surgical Flashcards | Quizlet Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Nausea: False Eye opening Spontaneous = 4 Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. -Perform admission assessment -Remove the dinner tray and make sure the diet is soft food. You explain that his condition has worsened and now he has been taken to ICU. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University You are now preparing for discharge, place steps in order: Senario 1 Noncompliance True Scenario 4 Acquire daily weight and food intake Educate patient Document results and findings When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Impaired Skin Integrity, Risk for False Notify doctor and charge nurse Imbalance nutrition: True Knowledge Deficit True Infection, Risk for False He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. I need to be reporting!" Ineffective Peripheral Tissue Perfusion False Scenario 5 -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on -Start an IV Impaired Home Maintenance Management False Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Encourage fluids/fiber/ambulation Fall, Risk for True Infection, risk for: False. List of American films of 2008 - Wikipedia It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Apply nasal cannula The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Re-assess patient Notify family as to when they may come and visit. Notify lead nurse/doctor Hopelessness False. Scenario 2 After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Scenario 5 Swift River Med-Surg Flashcards | Quizlet D/C plan- decrease pain and restore normal gait. Impaired Mobility, Risk for True Inform his partner that everything is being done to keep him comfortable. His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Document results No Known allergies (NKA). Senario 1 No known allergies (NKA). -Elevate head of bed and place the patient on Pulse oximetry. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Constipation False Remain with patient Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Educate patient Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. -Ensure patients is positioned in bed properly Physiological- Oral Mucosa: Tongue: Teeth: Mrs. Pittmon states she has had numbness for years but "now I can't . Use therapeutic communication/active listening Place call light and check bed for safety Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Fall Risk Increased acuity Students will prioritize medical surgical . is a 57 y/o who has been admitted for a radical prostatectomy. Today's weight 226. Consult Social Service How was this Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Record intake and output Scenario 3 Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Deficient Knowledge True Robert Sturgess - Swift River - Robert Sturgess Educational needs Notify doctor Therapeutic communicationT Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Color:__________ Obtain translator Impaired Home Maintenance Management r/t Client or Family False Mr. Sturgess does not have a living will or durable power of care completed. Evaluate understanding His children are visiting, and they are very supportive. Imbalanced Nutrition True 2. No known allergies (NKA). -Complete incident report. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Encourage fluids and fiber diet Anxiety True -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Escort patient Failure to Thrive False. Seek clarification The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Safety Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. Mr. Duncan is now complaining of feeling "dizzy" when he stands. He replies, "six times in the past four hours". Elevate Extremity You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. This shop has been compensated by Inmar Intelligence and its advertiser. The patient is asking you where her son is, the last place she saw him was right before the explosion. Check monitor Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Oriented to: Person Place Time Scenario 1 He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Safety Due to this, the provider would like him to stay in the hospital for observation. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Pain Level Increased acuity Impaired home maintenance mgmg r/t client or family: False He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Dr. Donofrio, Physiological Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Spanish interpreter available at extension 61178. Peripheral Neurovascular Dysfunction: False Ineffective Coping False Reorient Patient to person, place, & time Inappropriate words = 3 Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Evaluate patient learning He is excited and tells the nurse he is starving and glad that he finally gets to eat. Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. High fall risk. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. RUE: ______________ LUE: ______________ Anxiety True Skin cool to touch and appears pale. The sister of Mr. Mancia calls from home to speak with you. Scenario 5 Discuss his understanding about the plan of care. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Determine clinical decisions based on listening to an audible client report. Fear True Scenario 2 Senario 4 Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy
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